Elisa/Act Biotechnologies LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

ELISA/ACT BIOTECHNOLOGIES LLC

Practice address

14 Pidgeon Hill Dr
Suite 300
Sterling, VA 20165-6155

Phone

(703) 788-5101

Fax

(703) 450-2981

NPI assigned

Jun 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Russell Merrit Jaffe, MD

Title

President/ Ceo

Phone

(703) 788-5111

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Elisaact Biotechnologies2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Elisa/Act Biotechnologies

  • Clinical Medical Laboratory
  • Sterling, VA
  • NPI 1275991267
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104868512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PIDGEON HILL DR",
            "address_2": "SUITE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656155",
            "telephone_number": "703-788-5101",
            "fax_number": "703-450-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PIDGEON HILL DR",
            "address_2": "SUITE 300",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201656155",
            "telephone_number": "703-788-5101",
            "fax_number": "703-450-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISA/ACT BIOTECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "MERRIT",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "703-788-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4995635",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "259195",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarek Elbadawy, DDS
• Elemental Wellness and Spine PC
• Angela Elgin
• Nahed Elias, PHARMD
• Elisa/Act Biotechnologies
• Kehinde Hassanat Elisha, DNP, PMHNP-BC, APRN
• Karim Elkenawy, DDS
• Maadhava Ellaurie, MD
• Ellie Hsieh, LMFT, LLC
• Franklin William Ellis, LCSW-C

• Clinical Medical Laboratory in Sterling, VA
• Providers in Sterling, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.